Individual
DESTRY BROOK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3300 OK-97 STE 200, SAND SPRINGS, OK 74063
(539) 527-0045
Mailing address
5207 S HARVARD AVE APT K, TULSA, OK 74135-3545
(580) 243-7250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6495
OK
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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